PARENTAL CONSENT FORM FOR MINORS UNDER 18 YEARS OLD
FOR FREESTONE COUNTY RACEWAY, LLC
THIS FORM MUST BE NOTARIZED TO BE A VALID DOCUMENT
You will need two of these forms notarized, one for Freestone to keep and one for
the Guardian/Authorized Adult to keep.
PRINT CLEARLY
I /We___________________________________________ give my/our permission for
(Both parents or Legal Guardian)
my/our child _______________________________to compete in all motocross
(Print Minor Rider’s Name)
activities at Freestone County Raceway LLC on ________________________.
(Date or Dates)
I/We authorize ___________________________________ to act in my/our behalf as
(Guardian/Authorized Adult)
Guardian/Authorized Adult for my/our child so they he/she can sign all Wavier &
Release forms and to seek medical attention if necessary.
Signature of Parent______________________________ Date __________________
Signature of Parent______________________________ Date __________________
NOTARY COMPLETES THE FOLLOWING SECTION:
On this ______day of ___________________, ________ in the county of
_______________, State of _________ the adult_________________________,
being of legal age, personally appeared before me to be the person whose name is
herein subscribed.
NOTARY SIGNATURE ____________________________________
NOTARY Public, County of _________________________________